Founded in 1996, Skylands Urology has garnered a reputation for outstanding urologic care in Northwestern New Jersey. We provide state-of-the-art urologic and urogynecologic care for men, women, and children.
Our courteous and well-trained staff and physicians provide many specialized tests within our office in an effort to provide a rapid and accurate diagnosis. By focusing on each patient’s individual needs, we can offer both surgical and non-surgical treatment plans.
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Bloodwork with a CBC and CMP is recommended. In addition to a CT of the abdomen and pelvis with IV contrast, lung imaging with either CT or CXR should be performed.
RCCs tend to mimic other medical issues as some secrete hormones. Patients may present with high blood pressure, increased calcium and/or liver dysfunction. Symptoms from metastatic disease include bone pain, adenopathy, difficulty breathing and neurological issues.
Individuals with a family history of RCC have a 2.8-fold greater chance for developing Kidney cancer with multiple family kidney cancer genetic mutations.
Inhaled tobacco smoke is the etiology of many cases of RCC, with a strong dose-dependent increase in risk associated with numbers of cigarettes smoked per day and a substantial reduction in risk for long-term former smokers. Increased body mass index (BMI) and elevated blood pressure independently increase the long-term risk of renal cell cancer in men. Other modifiable risk factors include exposure…
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It usually occurs between the sixth and eighth decades of life, with a median age of 65.
Asian Americans and Pacific Islanders have the lowest incidence compared with American Indians/Alaskan natives, Hispanics, Caucasians, and African Americans. Globally, the highest rates observed in the Czech Republic and in North America.
RCC accounts for 2% to 3% of all malignant diseases in adults. It is the seventh most common cancer in men and the ninth most common in women. In the United States, there are approximately 65,000 new cases each year and about 13,500 deaths annually.
Systemic therapy is recommended for patients with metastatic disease. Several systemic agents exist today that are non-curative and therefore require long-term sequential therapy with multiple agents and management of toxicity.
In patients with decreased life expectancy or those considered to be at high risk during surgery, options include active surveillance and thermal ablation.
For tumors ≤4 cm in diameter, surgical excision by partial nephrectomy is recommended. Sometimes the tumor is central in the kidney necessitating complete removal by radical nephrectomy. The surgical approach can be either open or laparoscopic, depending on surgeon preference, and tumor size and location. The goal is to spare as many functioning kidney units as possible.